BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic cont...BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic control using multiple self-reporting questionnaires.METHODS Adults diagnosed with T2DM attending the Seremban Health Clinic were recruited in this cross-sectional study.Eligible participants were recruited based on a consecutive sampling technique,first-come-first-served-basis if they fulfilled the inclusion and exclusion criteria.In addition to the usual sociodemographic,clinical,and laboratory data,the participants answered seven specific self-reporting questionnaires.This report was focused on six key variables:Glycemic control;self-care;self-efficacy;diabetes knowledge;health literacy;and medication adherence.RESULTS A total of 100 adults with T2DM participated.The proportions of participants achieving specific thresholds in the key variables were:Acceptable glycemic control 39.4%;adequate diabetes knowledge 59.6%;sufficient or higher health literacy 80.2%;and medication adherence 51.0%.The mean self-efficacy score was 110.6(73.3%of maximum),and the mean self-care score was 30.7(43.9%of maximum).A statistically significant linear correlation was observed for eight pairs of key variables with Pearson’s correlation values varying between 0.21 to 0.55.Selfefficacy had a relatively higher correlation while glycated hemoglobin was not correlated with other key variables.Path analysis was conducted to examine the relationships among diabetes self-efficacy(Diabetes Management Self Efficacy scale score),self-care behavior(Summary of Diabetes Self-Care Activities score),and glycemic control,but the model demonstrated a poor fit(χ^(2)=28.1,P<0.001).CONCLUSION We found substantial suboptimal glycemic control and low self-care practices but acceptable levels of diabetes knowledge,self-efficacy,health literacy and medication adherence among the patients with T2DM.In spite of the correlations between self-care,self-efficacy,and medication adherence,it was surprising that self-care did not correlate with glycemic control.Prospective cohort studies are needed to explore whether these factors influence diabetes outcomes.展开更多
BACKGROUND Diabetes is becoming increasingly common and has become an important global health issue.In addition to physical damage,diabetes often leads to psychological complications,such as depressive symptoms.Self-c...BACKGROUND Diabetes is becoming increasingly common and has become an important global health issue.In addition to physical damage,diabetes often leads to psychological complications,such as depressive symptoms.Self-care is considered to be the cornerstone of type 2 diabetes mellitus(T2DM)management.This research evaluated depression and explored the associations between self-care activities,self-perceived burden,and depression among T2DM patients in China.AIM To investigate the self-care activities and the association between depression and self-perceived burden among Chinese inpatients with T2DM.METHODS A cross-sectional study was conducted in participants with T2DM.The data collected encompassed basic characteristics,diabetes self-care activities,depre-ssion levels,and self-perceived burdens.Bootstrapping was utilized to assess the mediating role of diabetes self-care activities.RESULTS There were 599 T2DM patients in the survey,and 71.8%had been diagnosed with the disease for 1–10 years.There were significant correlations between self-care activities,depression,and self-perceived burden.The significant coefficients for paths a(B=-0.281,P<0.001)and b(B=-0.041,P<0.05)suggested negative associations between self-perceived burden and self-care behavior and between self-care activities and depression.The indirect effect(path a×b)of self-perceived burden on depression through self-care behaviors was significant(B=0.020,P<0.05),with a 95%bias-corrected bootstrap confidence interval of 0.007–0.036.CONCLUSION The mediating model presented here highlights the role of self-care activities in exerting both direct and indirect effects on depression in participants with T2DM.展开更多
Objective:To explore the effects of respiratory exercise rehabilitation nursing on self-care ability,lung function,and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 88...Objective:To explore the effects of respiratory exercise rehabilitation nursing on self-care ability,lung function,and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 88 patients with COPD admitted from February 2024 to February 2025 were selected and randomly divided into an experimental group and a control group,with 44 patients in each group.The control group received routine nursing,while the experimental group received respiratory exercise rehabilitation nursing on the basis of routine nursing.After 12 weeks of intervention,the self-care ability,lung function,and quality of life of the two groups were compared.Results:After the intervention,the scores of each dimension and the total score of self-care ability in the experimental group were significantly higher than those in the control group(p<0.001).The improvement of lung function indicators such as FEV_(1),FVC,and FEV_(1)/FVC in the experimental group was better than that in the control group(p<0.001).The scores of each dimension and the total score of quality of life in the experimental group were significantly lower than those in the control group(p<0.001).Conclusion:Respiratory exercise rehabilitation nursing can effectively improve the self-care ability,lung function,and quality of life of patients with COPD,which is worthy of clinical promotion and application.展开更多
Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in o...Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.展开更多
Stroke survivors often face significant challenges when performing daily self-care activities due to upper limb motor impairments.Traditional surface electromyography(sEMG)analysis typically focuses on isolated hand p...Stroke survivors often face significant challenges when performing daily self-care activities due to upper limb motor impairments.Traditional surface electromyography(sEMG)analysis typically focuses on isolated hand postures,overlooking the complexity of object-interactive behaviors that are crucial for promoting patient independence.This study introduces a novel framework that combines high-density sEMG(HD-sEMG)signals with an improved Whale Optimization Algorithm(IWOA)-optimized Long Short-Term Memory(LSTM)network to address this limitation.The key contributions of this work include:(1)the creation of a specialized HD-sEMG dataset that captures nine continuous self-care behaviors,along with time and posture markers,to better reflect real-world patient interactions;(2)the development of a multi-channel feature fusion module based on Pascal’s theorem,which enables efficient signal segmentation and spatial–temporal feature extraction;and(3)the enhancement of the IWOA algorithm,which integrates optimal point set initialization,a diversity-driven pooling mechanism,and cosine-based differential evolution to optimize LSTM hyperparameters,thereby improving convergence and global search capabilities.Experimental results demonstrate superior performance,achieving 99.58%accuracy in self-care behavior recognition and 86.19%accuracy for 17 continuous gestures on the Ninapro db2 benchmark.The framework operates with low latency,meeting the real-time requirements for assistive devices.By enabling precise,context-aware recognition of daily activities,this work advances personalized rehabilitation technologies,empowering stroke patients to regain autonomy in self-care tasks.The proposed methodology offers a robust,scalable solution for clinical applications,bridging the gap between laboratory-based gesture recognition and practical,patient-centered care.展开更多
Diabetes is a common chronic disease in clinical practice.The current global average prevalence is 2–6%,and more than 90%of patients have type 2 diabetes.Although there is a correlation between independent self-care ...Diabetes is a common chronic disease in clinical practice.The current global average prevalence is 2–6%,and more than 90%of patients have type 2 diabetes.Although there is a correlation between independent self-care and self-management,improving patients’self-care and self-management behaviors can effectively improve patients’quality of life.This study aimed to determine if a significant relationship exists between independent self-care and self-management.This study used a quantitative research design.The inclusion criteria included 198 participants using purposeful sampling.This study adopted a correlational research design to determine the association between self-care readiness(independent variable)and self-management(dependent variable).This study surveyed respondents using a three-part questionnaire,and their scores were recorded using the Demographic Profile Questionnaire,Transition Readiness Assessment Questionnaire(TRAQ),and Diabetes Self-Management Questionnaire(DSQM).The data were analyzed using statistical tools such as frequency,percentage,mean,standard deviation,Pearson R and hypothesis testing.The results showed a correlation between independent self-care and self-management in diabetic patients.These findings indicate that the respondents generally reported moderate to high levels of readiness and self-management,with more variability noted in self-management scores.Overall,the findings suggest that preparedness for independent self-care plays a statistically significant role in influencing self-management,although the strength of this relationship is relatively weak.展开更多
Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus...Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.展开更多
Objective:Existing research shows that psychotherapists may experience secondary trauma and burnout,often neglecting self-care.This study aims to examine the effectiveness of self-care education in enhancing self-care...Objective:Existing research shows that psychotherapists may experience secondary trauma and burnout,often neglecting self-care.This study aims to examine the effectiveness of self-care education in enhancing self-care efficacy among psychotherapists and explore factors affecting improvements in their self-care abilities.Methods:A self-care workshop was conducted for 159 psychotherapists from various fields.Participants’demographic information and self-care ability data were collected.The Exercise of Self-Care Agency Scale(ESCA)was used to assess the participant’s self-care levels before and after the workshop.Results:Post-workshop,ESCA total scores and subscale scores of participants showed significant increases(all P<0.001).Notably,score improvement levels differed by gender and years of practice,with female therapists showing greater improvement than male therapists(t=2.069,P=0.040)and those with longer work experience showing greater improvement than those with shorter experience(F=2.537,P=0.042).Conclusion:Providing self-care education for psychotherapists is essential.Future self care education programs or interventions for psychotherapists should consider gender and work experience factors to better support their self-care enhancement.展开更多
Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Weste...Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts.展开更多
Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobeha...Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.展开更多
Objective:To explore an intervention strategy for patients with fluid overload undergoing maintenance hemodialysis and to evaluate the effects of the LEARNS model on improving self-care agency and patient compliance.M...Objective:To explore an intervention strategy for patients with fluid overload undergoing maintenance hemodialysis and to evaluate the effects of the LEARNS model on improving self-care agency and patient compliance.Methods:A total of 76 patients with fluid overload undergoing maintenance hemodialysis at our hospital from March 2023 to March 2024 were selected for the study.Patients were randomly divided into two groups,with 38 in each group.The control group received conventional interventions,while the observation group was treated using the LEARNS model.Self-care agency,compliance,and quality of life outcomes in both groups were analyzed and compared.Results:Before the intervention,no statistically significant differences were observed in the self-care agency scores between the two groups(P>0.05).After the intervention,patients’self-care agency improved significantly,with the observation group showing notably higher scores than the control group(P<0.05).Patient compliance in the observation group was also significantly higher than in the control group(P<0.05).Quality of life,assessed using the SF-36 scale,showed no significant differences between the two groups prior to intervention(P>0.05).After the intervention,quality of life scores improved significantly in both groups,with the observation group exhibiting significantly higher scores than the control group(P<0.05).Conclusion:The LEARNS model is effective in improving patient compliance,enhancing self-care agency,and improving quality of life in maintenance hemodialysis patients with fluid overload,making it a promising approach for broader application.展开更多
Objective:To determine the impact of applying the theory of human becoming and self-care deficit theory of nursing in overcoming insomnia in patients of urinary incontinence(UI)after stroke.Insomnia is a sleep disorde...Objective:To determine the impact of applying the theory of human becoming and self-care deficit theory of nursing in overcoming insomnia in patients of urinary incontinence(UI)after stroke.Insomnia is a sleep disorder experienced by UI patients after stroke which can exacerbate problems related to brain damage and can complicate the recovery process.Methods:This study was a quasi-experimental conducted in 4 hospitals.Fifty-six patients were selected by convenience sampling and divided into 2 groups(the intervention and control group).Participants in the intervention group received“applying the theory of Human becoming and self-care deficit theory of nursing,”starting when the patient is about to go home from the hospital and continuing at the house.Measurement of insomnia is done using the Pittsburgh Sleep Quality Index(PSQI).Results:The mean insomnia scores of participants from both groups increased in the first and third measurements.The second and third insomnia measurements found a significant difference(P<0.001).This intervention decreased the average score of insomnia by 4.11 times in the second measurement and 5.82 times in the third measurement.The most important item that decreased in the third measurement of insomnia was sleep efficiency.Conclusions:Applying the theory of human becoming and self-care deficit theory of nursing in this study significantly decreased the insomnia score of post-stroke UI patients.It can be used as a guide for nurses,patients,and families in managing insomnia.In addition,the application of nursing theory in nursing practice can systematize nursing care plans and organize the knowledge of professionals into a conceptual framework,as well as provide effective guidance for nurses on what to do.展开更多
Objective:The purpose of this study was to determine the effectiveness of brisk walking as an intervention for self-care agency and care dependency in patients with permanent colorectal cancer stoma.Method:This study ...Objective:The purpose of this study was to determine the effectiveness of brisk walking as an intervention for self-care agency and care dependency in patients with permanent colorectal cancer stoma.Method:This study adopted a quasi-experimental research design,specifically a non-equivalent control group pre-test and post-test design.Utilizing the Exercise of Self-Care Agency Scale(ESCA)and Care Dependency Scale(CDS),a survey was administered to 64 patients from a hospital in Shandong Province.The statistical methods used for analyzing data included frequency,mean,standard deviation(SD),independent t-test,P-value calculation,and dependent t-test.Result:After two months of a brisk walking exercise program,participants in the experimental group had a higher level of self-care agency than before the experiment(P<0.05),and their level of care dependency was significantly reduced(P<0.05).Participants in the control group also showed higher levels of self-care agency(P<0.05)and lower levels of care dependency(P<0.05)after two months compared to their levels before the two months.Conclusion:The brisk walking program had a positive impact on patients’self-care agency and reduced their care dependency.展开更多
Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from Januar...Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.展开更多
Objective:To analyze the effects of a coordinated intervention plan combining oral health and self-care on the oral health,self-care ability,and hospitalization satisfaction of colorectal cancer patients post-chemothe...Objective:To analyze the effects of a coordinated intervention plan combining oral health and self-care on the oral health,self-care ability,and hospitalization satisfaction of colorectal cancer patients post-chemotherapy.Methods:A total of 106 patients undergoing postoperative chemotherapy for colorectal cancer from October 2022 to August 2023 were randomly divided into two groups.Both groups received routine nursing care,while the intervention group also received a coordinated intervention program.The effectiveness of the intervention was evaluated using the oral odor score,Beck oral rating scale,self-care ability scale,and patient hospitalization satisfaction scale.Data was collected before the intervention,and on the 7th and 14th days after the intervention.Results:No significant differences were found between the two groups before the intervention(P>0.05).After the intervention,the intervention group showed significant improvements in Beck oral score,dry mouth,and bad breath scores(P<0.05),compared to the control group.There was no significant difference in oral pH between groups(P>0.05).Self-care ability improved significantly in the intervention group(P<0.05).Independent sample t-tests revealed that the intervention group had significant improvements in satisfaction with medical care,including doctors’and nurses’professional skills and humanistic care(P<0.05).No significant differences were found in waiting time and hospital environment(P>0.05).Conclusion:The coordinated intervention plan combining oral health and self-care for colorectal cancer patients post-chemotherapy significantly improves oral health,self-care ability,and hospitalization satisfaction.This approach,integrating traditional Chinese and Western medicine,has great potential for clinical application.展开更多
This study aimed to investigate treatment-related symptoms in lung cancer patients undergoing chemotherapy and radiotherapy,as well as effective self-care strategies to alleviate these symptoms.A total of 202 lung can...This study aimed to investigate treatment-related symptoms in lung cancer patients undergoing chemotherapy and radiotherapy,as well as effective self-care strategies to alleviate these symptoms.A total of 202 lung cancer patients were surveyed using a treatment-related symptom checklist,Karnofsky Performance Status scale,and a self-care symptom relief questionnaire.The results showed that the most common treatment-related symptoms included fatigue(93.07%),loss of appetite(88.12%),nausea(82.67),hair loss(74.75%),vomiting(66.83%),pain(64.85%),taste changes(62.87%)and constipation(60.89%).The study also gathered patients’self-care methods that they found effective in alleviating these symptoms.Findings suggest that lung cancer patients bear a significant burden of treatment-related symptoms,and various self-care strategies reported by the patients were effective in managing these symptoms.展开更多
Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly sel...Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A(control group,35 cases,conventional care)and Group B(observation group 35 cases,comfort care).The effects of the two groups before and after nursing care were compared.Results:The self-rating anxiety(SAS)scores,exercise of self-care agency(ESCA)scores,and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care(P<0.05).Conclusion:Perioperative comfort care for HYS patients improved the patient’s adverse emotions,self-care ability,and nursing satisfaction.展开更多
BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the pr...BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the progression of the disease,thus reducing the mortality and hospitalization rate.Although the previous regimen can effectively relieve symptoms in the early stage of treatment,long-term use may cause adverse events,such as arrhythmia,and even increase mortality.Therefore,conventional treatment cannot meet the actual health needs of patients,and scientific nursing intervention is very necessary.AIM To investigate the application of self-care based on full-course individualized health education (FCIHE) and its influencing factors in patients with chronic heart failure (CHF).METHODS We enrolled CHF patients who were admitted to our center between September 2015 and June 2016 and divided them into an intervention group (n = 50) and control group (n = 50) using a random number table.Routine nursing care was applied to the control group,and FCIHE was offered to the intervention group.The self-care behavior,6-min walking distance (6MWD),and 36-item short form health survey (SF-36) scores were compared between the two groups.The influencing factors of the self-care were also analyzed.RESULTS The 6MWD was not significantly different between the two groups at admission (P > 0.05);however,at 3 and 6 mo after discharge,6MWD was significantly increased,and it was significantly longer in the intervention group (P < 0.05).The scores for self-care behavior showed no significant difference at admission between the two groups (P > 0.05);however,at 3 and 6 mo after discharge,the total scores for self-care maintenance,management,confidence,and behavior of the intervention group were significantly higher than those of the control group (P < 0.05).There were no significant differences in the SF-36 scores at admission (P > 0.05);however,at 3 mo and 6 mo after discharge,the scores for all eight subscales,including physical functioning,role limitations due to physical problems,bodily pain,general health perceptions,vitality,social functioning,role-limitations due to emotional problems,and mental health,were significantly higher in the intervention group (P < 0.05).As shown by logistic regression analysis,the influencing factors of self-care mainly included age,cardiac function class,and education background (odds ratio > 1;all P < 0.05).CONCLUSION FCIHE improved self-care behavior and cardiac function in CHF patients.Age,cardiac function,and education level affected the implementation of self-care among CHF patients.展开更多
BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm...BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.AIM To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.METHODS A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each group.The control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction model.The daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after intervention.RESULTS Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P<0.05).Before intervention,self-concept(17.46±4.44),self-care skills(25.22±4.20),self-care knowledge(22.35±4.74),and self-care responsibility(15.06±3.29)scores in the study group was similar to those in the control group(self-concept:16.89±5.53,self-care skills:24.59±4.46,self-care knowledge:21.80±3.61,and self-care responsibility:14.83±3.11)(P>0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in the study group were higher than those in the control group(self-concept:22.97±3.46,self-care skills:33.02±5.65,selfcare skills knowledge:36.81±5.54,and self-care responsibility:17.97±3.56 points)(P<0.05).The incidence of complications in the study group(4.65%)was lower than that in the control group(18.60%)(P<0.05).Nursing satisfaction in the study group(95.35%)was higher than that in the control group(81.40%)(P<0.05).CONCLUSION Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function,daily living ability,self-care ability,quality of life,and patient satisfaction,while reducing the risk of complications.展开更多
BACKGROUND Depression,anxiety,and altered self-care ability are among the most important factors affecting the quality of life of liver transplant recipients.Depending on the severity of the underlying liver disease,s...BACKGROUND Depression,anxiety,and altered self-care ability are among the most important factors affecting the quality of life of liver transplant recipients.Depending on the severity of the underlying liver disease,signs and symptoms of anxiety and depression may become more pronounced.AIM To evaluate the factors affecting depression,anxiety and self-care abilities of liver transplant recipients.METHODS Recipients who are≥18 years and who underwent liver transplantation at Inonu University Liver Transplantation Institute were included in this descriptive and cross-sectional study.Sample size analysis showed that the minimum number of recipients should be 301(confidence level=95%,confidence interval=2.5,population=1382).Three hundred and twenty recipients were interviewed and 316 recipients that have answered the questionnaires accurately were analyzed.The dependent variables were the Beck Depression Scale,State-Trait Anxiety Scale(Form I and II),and Self-Care Agency Scale.The independent variables of the study were sociodemographic characteristics,biliary complications,hepatocellular carcinoma,recommending liver transplantation to other patients,and the interval of out-patient clinic visits.RESULTS Self-care ability scores were lower(P=0.002)and anxiety scores were higher(P=0.004)in recipients with biliary complications.On the other hand,in recipients with hepatocellular carcinoma,self-care scores were lower(P=0.006)while depression(P=0.003)and anxiety scores(P=0.009)were higher.Liver transplantation recipients with a monthly income<3000 Turkish liras had higher depression(P<0.001)and anxiety(P=0.003)scores.The recipients who stated that they would not recommend liver transplantation to others had lower self-care scores(P=0.002),higher depression(P<0.001),higher state anxiety(P=0.02),and trait anxiety(P<0.001)scores.CONCLUSION Presence of biliary complications and hepatocellular carcinoma,low income level,and an obligation for monthly visits to the outpatient clinic are factors that are found to affect self-care capability,depression,and anxiety.展开更多
基金Supported by the IMU University Internal Grant,No.CSc-Sem6(12)2022.
文摘BACKGROUND Adults with type 2 diabetes mellitus(T2DM)in Malaysia continue to have substantial comorbidities and struggle to achieve glycemic targets.AIM To comprehensively evaluate diabetes self-care and glycemic control using multiple self-reporting questionnaires.METHODS Adults diagnosed with T2DM attending the Seremban Health Clinic were recruited in this cross-sectional study.Eligible participants were recruited based on a consecutive sampling technique,first-come-first-served-basis if they fulfilled the inclusion and exclusion criteria.In addition to the usual sociodemographic,clinical,and laboratory data,the participants answered seven specific self-reporting questionnaires.This report was focused on six key variables:Glycemic control;self-care;self-efficacy;diabetes knowledge;health literacy;and medication adherence.RESULTS A total of 100 adults with T2DM participated.The proportions of participants achieving specific thresholds in the key variables were:Acceptable glycemic control 39.4%;adequate diabetes knowledge 59.6%;sufficient or higher health literacy 80.2%;and medication adherence 51.0%.The mean self-efficacy score was 110.6(73.3%of maximum),and the mean self-care score was 30.7(43.9%of maximum).A statistically significant linear correlation was observed for eight pairs of key variables with Pearson’s correlation values varying between 0.21 to 0.55.Selfefficacy had a relatively higher correlation while glycated hemoglobin was not correlated with other key variables.Path analysis was conducted to examine the relationships among diabetes self-efficacy(Diabetes Management Self Efficacy scale score),self-care behavior(Summary of Diabetes Self-Care Activities score),and glycemic control,but the model demonstrated a poor fit(χ^(2)=28.1,P<0.001).CONCLUSION We found substantial suboptimal glycemic control and low self-care practices but acceptable levels of diabetes knowledge,self-efficacy,health literacy and medication adherence among the patients with T2DM.In spite of the correlations between self-care,self-efficacy,and medication adherence,it was surprising that self-care did not correlate with glycemic control.Prospective cohort studies are needed to explore whether these factors influence diabetes outcomes.
基金Supported by the Hunan Provincial Natural Science Foundation of China,No.2025JJ80413.
文摘BACKGROUND Diabetes is becoming increasingly common and has become an important global health issue.In addition to physical damage,diabetes often leads to psychological complications,such as depressive symptoms.Self-care is considered to be the cornerstone of type 2 diabetes mellitus(T2DM)management.This research evaluated depression and explored the associations between self-care activities,self-perceived burden,and depression among T2DM patients in China.AIM To investigate the self-care activities and the association between depression and self-perceived burden among Chinese inpatients with T2DM.METHODS A cross-sectional study was conducted in participants with T2DM.The data collected encompassed basic characteristics,diabetes self-care activities,depre-ssion levels,and self-perceived burdens.Bootstrapping was utilized to assess the mediating role of diabetes self-care activities.RESULTS There were 599 T2DM patients in the survey,and 71.8%had been diagnosed with the disease for 1–10 years.There were significant correlations between self-care activities,depression,and self-perceived burden.The significant coefficients for paths a(B=-0.281,P<0.001)and b(B=-0.041,P<0.05)suggested negative associations between self-perceived burden and self-care behavior and between self-care activities and depression.The indirect effect(path a×b)of self-perceived burden on depression through self-care behaviors was significant(B=0.020,P<0.05),with a 95%bias-corrected bootstrap confidence interval of 0.007–0.036.CONCLUSION The mediating model presented here highlights the role of self-care activities in exerting both direct and indirect effects on depression in participants with T2DM.
基金Baoding Science and Technology Plan(Project No.:2541ZF096)。
文摘Objective:To explore the effects of respiratory exercise rehabilitation nursing on self-care ability,lung function,and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 88 patients with COPD admitted from February 2024 to February 2025 were selected and randomly divided into an experimental group and a control group,with 44 patients in each group.The control group received routine nursing,while the experimental group received respiratory exercise rehabilitation nursing on the basis of routine nursing.After 12 weeks of intervention,the self-care ability,lung function,and quality of life of the two groups were compared.Results:After the intervention,the scores of each dimension and the total score of self-care ability in the experimental group were significantly higher than those in the control group(p<0.001).The improvement of lung function indicators such as FEV_(1),FVC,and FEV_(1)/FVC in the experimental group was better than that in the control group(p<0.001).The scores of each dimension and the total score of quality of life in the experimental group were significantly lower than those in the control group(p<0.001).Conclusion:Respiratory exercise rehabilitation nursing can effectively improve the self-care ability,lung function,and quality of life of patients with COPD,which is worthy of clinical promotion and application.
基金Baoding Science and Technology Bureau Project“Study on the Impact of Continuing Care on Self-Care Ability and Quality of Life in COPD Patients”(Project No.2441ZF276)。
文摘Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.
基金supported by the National Natural Science Foundation of China(72061006)the research on the auxiliary diagnosis system of chronic injury of levator scapulae based on the concept of digital twin(Contract No:Qian Kehe Support[2023]General 117)Research on indoor intelligent assisted walking robot for the rehabilitation of walking ability of the elderly(Contract No:Qian kehe Support[2023]General 124).
文摘Stroke survivors often face significant challenges when performing daily self-care activities due to upper limb motor impairments.Traditional surface electromyography(sEMG)analysis typically focuses on isolated hand postures,overlooking the complexity of object-interactive behaviors that are crucial for promoting patient independence.This study introduces a novel framework that combines high-density sEMG(HD-sEMG)signals with an improved Whale Optimization Algorithm(IWOA)-optimized Long Short-Term Memory(LSTM)network to address this limitation.The key contributions of this work include:(1)the creation of a specialized HD-sEMG dataset that captures nine continuous self-care behaviors,along with time and posture markers,to better reflect real-world patient interactions;(2)the development of a multi-channel feature fusion module based on Pascal’s theorem,which enables efficient signal segmentation and spatial–temporal feature extraction;and(3)the enhancement of the IWOA algorithm,which integrates optimal point set initialization,a diversity-driven pooling mechanism,and cosine-based differential evolution to optimize LSTM hyperparameters,thereby improving convergence and global search capabilities.Experimental results demonstrate superior performance,achieving 99.58%accuracy in self-care behavior recognition and 86.19%accuracy for 17 continuous gestures on the Ninapro db2 benchmark.The framework operates with low latency,meeting the real-time requirements for assistive devices.By enabling precise,context-aware recognition of daily activities,this work advances personalized rehabilitation technologies,empowering stroke patients to regain autonomy in self-care tasks.The proposed methodology offers a robust,scalable solution for clinical applications,bridging the gap between laboratory-based gesture recognition and practical,patient-centered care.
文摘Diabetes is a common chronic disease in clinical practice.The current global average prevalence is 2–6%,and more than 90%of patients have type 2 diabetes.Although there is a correlation between independent self-care and self-management,improving patients’self-care and self-management behaviors can effectively improve patients’quality of life.This study aimed to determine if a significant relationship exists between independent self-care and self-management.This study used a quantitative research design.The inclusion criteria included 198 participants using purposeful sampling.This study adopted a correlational research design to determine the association between self-care readiness(independent variable)and self-management(dependent variable).This study surveyed respondents using a three-part questionnaire,and their scores were recorded using the Demographic Profile Questionnaire,Transition Readiness Assessment Questionnaire(TRAQ),and Diabetes Self-Management Questionnaire(DSQM).The data were analyzed using statistical tools such as frequency,percentage,mean,standard deviation,Pearson R and hypothesis testing.The results showed a correlation between independent self-care and self-management in diabetic patients.These findings indicate that the respondents generally reported moderate to high levels of readiness and self-management,with more variability noted in self-management scores.Overall,the findings suggest that preparedness for independent self-care plays a statistically significant role in influencing self-management,although the strength of this relationship is relatively weak.
文摘Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.
基金supported by the Natural Science Foundation of Hunan Province,China(2023JJ60076).
文摘Objective:Existing research shows that psychotherapists may experience secondary trauma and burnout,often neglecting self-care.This study aims to examine the effectiveness of self-care education in enhancing self-care efficacy among psychotherapists and explore factors affecting improvements in their self-care abilities.Methods:A self-care workshop was conducted for 159 psychotherapists from various fields.Participants’demographic information and self-care ability data were collected.The Exercise of Self-Care Agency Scale(ESCA)was used to assess the participant’s self-care levels before and after the workshop.Results:Post-workshop,ESCA total scores and subscale scores of participants showed significant increases(all P<0.001).Notably,score improvement levels differed by gender and years of practice,with female therapists showing greater improvement than male therapists(t=2.069,P=0.040)and those with longer work experience showing greater improvement than those with shorter experience(F=2.537,P=0.042).Conclusion:Providing self-care education for psychotherapists is essential.Future self care education programs or interventions for psychotherapists should consider gender and work experience factors to better support their self-care enhancement.
基金The original study wasfinancially supported by Walailak University(grant number:WU65240,Year 2022).
文摘Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts.
文摘Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.
文摘Objective:To explore an intervention strategy for patients with fluid overload undergoing maintenance hemodialysis and to evaluate the effects of the LEARNS model on improving self-care agency and patient compliance.Methods:A total of 76 patients with fluid overload undergoing maintenance hemodialysis at our hospital from March 2023 to March 2024 were selected for the study.Patients were randomly divided into two groups,with 38 in each group.The control group received conventional interventions,while the observation group was treated using the LEARNS model.Self-care agency,compliance,and quality of life outcomes in both groups were analyzed and compared.Results:Before the intervention,no statistically significant differences were observed in the self-care agency scores between the two groups(P>0.05).After the intervention,patients’self-care agency improved significantly,with the observation group showing notably higher scores than the control group(P<0.05).Patient compliance in the observation group was also significantly higher than in the control group(P<0.05).Quality of life,assessed using the SF-36 scale,showed no significant differences between the two groups prior to intervention(P>0.05).After the intervention,quality of life scores improved significantly in both groups,with the observation group exhibiting significantly higher scores than the control group(P<0.05).Conclusion:The LEARNS model is effective in improving patient compliance,enhancing self-care agency,and improving quality of life in maintenance hemodialysis patients with fluid overload,making it a promising approach for broader application.
文摘Objective:To determine the impact of applying the theory of human becoming and self-care deficit theory of nursing in overcoming insomnia in patients of urinary incontinence(UI)after stroke.Insomnia is a sleep disorder experienced by UI patients after stroke which can exacerbate problems related to brain damage and can complicate the recovery process.Methods:This study was a quasi-experimental conducted in 4 hospitals.Fifty-six patients were selected by convenience sampling and divided into 2 groups(the intervention and control group).Participants in the intervention group received“applying the theory of Human becoming and self-care deficit theory of nursing,”starting when the patient is about to go home from the hospital and continuing at the house.Measurement of insomnia is done using the Pittsburgh Sleep Quality Index(PSQI).Results:The mean insomnia scores of participants from both groups increased in the first and third measurements.The second and third insomnia measurements found a significant difference(P<0.001).This intervention decreased the average score of insomnia by 4.11 times in the second measurement and 5.82 times in the third measurement.The most important item that decreased in the third measurement of insomnia was sleep efficiency.Conclusions:Applying the theory of human becoming and self-care deficit theory of nursing in this study significantly decreased the insomnia score of post-stroke UI patients.It can be used as a guide for nurses,patients,and families in managing insomnia.In addition,the application of nursing theory in nursing practice can systematize nursing care plans and organize the knowledge of professionals into a conceptual framework,as well as provide effective guidance for nurses on what to do.
文摘Objective:The purpose of this study was to determine the effectiveness of brisk walking as an intervention for self-care agency and care dependency in patients with permanent colorectal cancer stoma.Method:This study adopted a quasi-experimental research design,specifically a non-equivalent control group pre-test and post-test design.Utilizing the Exercise of Self-Care Agency Scale(ESCA)and Care Dependency Scale(CDS),a survey was administered to 64 patients from a hospital in Shandong Province.The statistical methods used for analyzing data included frequency,mean,standard deviation(SD),independent t-test,P-value calculation,and dependent t-test.Result:After two months of a brisk walking exercise program,participants in the experimental group had a higher level of self-care agency than before the experiment(P<0.05),and their level of care dependency was significantly reduced(P<0.05).Participants in the control group also showed higher levels of self-care agency(P<0.05)and lower levels of care dependency(P<0.05)after two months compared to their levels before the two months.Conclusion:The brisk walking program had a positive impact on patients’self-care agency and reduced their care dependency.
文摘Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.
文摘Objective:To analyze the effects of a coordinated intervention plan combining oral health and self-care on the oral health,self-care ability,and hospitalization satisfaction of colorectal cancer patients post-chemotherapy.Methods:A total of 106 patients undergoing postoperative chemotherapy for colorectal cancer from October 2022 to August 2023 were randomly divided into two groups.Both groups received routine nursing care,while the intervention group also received a coordinated intervention program.The effectiveness of the intervention was evaluated using the oral odor score,Beck oral rating scale,self-care ability scale,and patient hospitalization satisfaction scale.Data was collected before the intervention,and on the 7th and 14th days after the intervention.Results:No significant differences were found between the two groups before the intervention(P>0.05).After the intervention,the intervention group showed significant improvements in Beck oral score,dry mouth,and bad breath scores(P<0.05),compared to the control group.There was no significant difference in oral pH between groups(P>0.05).Self-care ability improved significantly in the intervention group(P<0.05).Independent sample t-tests revealed that the intervention group had significant improvements in satisfaction with medical care,including doctors’and nurses’professional skills and humanistic care(P<0.05).No significant differences were found in waiting time and hospital environment(P>0.05).Conclusion:The coordinated intervention plan combining oral health and self-care for colorectal cancer patients post-chemotherapy significantly improves oral health,self-care ability,and hospitalization satisfaction.This approach,integrating traditional Chinese and Western medicine,has great potential for clinical application.
文摘This study aimed to investigate treatment-related symptoms in lung cancer patients undergoing chemotherapy and radiotherapy,as well as effective self-care strategies to alleviate these symptoms.A total of 202 lung cancer patients were surveyed using a treatment-related symptom checklist,Karnofsky Performance Status scale,and a self-care symptom relief questionnaire.The results showed that the most common treatment-related symptoms included fatigue(93.07%),loss of appetite(88.12%),nausea(82.67),hair loss(74.75%),vomiting(66.83%),pain(64.85%),taste changes(62.87%)and constipation(60.89%).The study also gathered patients’self-care methods that they found effective in alleviating these symptoms.Findings suggest that lung cancer patients bear a significant burden of treatment-related symptoms,and various self-care strategies reported by the patients were effective in managing these symptoms.
基金Research project of Sichuan Maternal and Child Health Association(No.:22FXYB12)Research project of Sichuan Health and Family Planning Commission(No.:16PJ399)。
文摘Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A(control group,35 cases,conventional care)and Group B(observation group 35 cases,comfort care).The effects of the two groups before and after nursing care were compared.Results:The self-rating anxiety(SAS)scores,exercise of self-care agency(ESCA)scores,and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care(P<0.05).Conclusion:Perioperative comfort care for HYS patients improved the patient’s adverse emotions,self-care ability,and nursing satisfaction.
基金Supported by the Program of Qiqihar Science and Technology Plan,No.SFGG-201534
文摘BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the progression of the disease,thus reducing the mortality and hospitalization rate.Although the previous regimen can effectively relieve symptoms in the early stage of treatment,long-term use may cause adverse events,such as arrhythmia,and even increase mortality.Therefore,conventional treatment cannot meet the actual health needs of patients,and scientific nursing intervention is very necessary.AIM To investigate the application of self-care based on full-course individualized health education (FCIHE) and its influencing factors in patients with chronic heart failure (CHF).METHODS We enrolled CHF patients who were admitted to our center between September 2015 and June 2016 and divided them into an intervention group (n = 50) and control group (n = 50) using a random number table.Routine nursing care was applied to the control group,and FCIHE was offered to the intervention group.The self-care behavior,6-min walking distance (6MWD),and 36-item short form health survey (SF-36) scores were compared between the two groups.The influencing factors of the self-care were also analyzed.RESULTS The 6MWD was not significantly different between the two groups at admission (P > 0.05);however,at 3 and 6 mo after discharge,6MWD was significantly increased,and it was significantly longer in the intervention group (P < 0.05).The scores for self-care behavior showed no significant difference at admission between the two groups (P > 0.05);however,at 3 and 6 mo after discharge,the total scores for self-care maintenance,management,confidence,and behavior of the intervention group were significantly higher than those of the control group (P < 0.05).There were no significant differences in the SF-36 scores at admission (P > 0.05);however,at 3 mo and 6 mo after discharge,the scores for all eight subscales,including physical functioning,role limitations due to physical problems,bodily pain,general health perceptions,vitality,social functioning,role-limitations due to emotional problems,and mental health,were significantly higher in the intervention group (P < 0.05).As shown by logistic regression analysis,the influencing factors of self-care mainly included age,cardiac function class,and education background (odds ratio > 1;all P < 0.05).CONCLUSION FCIHE improved self-care behavior and cardiac function in CHF patients.Age,cardiac function,and education level affected the implementation of self-care among CHF patients.
文摘BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.AIM To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.METHODS A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each group.The control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction model.The daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after intervention.RESULTS Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P<0.05).Before intervention,self-concept(17.46±4.44),self-care skills(25.22±4.20),self-care knowledge(22.35±4.74),and self-care responsibility(15.06±3.29)scores in the study group was similar to those in the control group(self-concept:16.89±5.53,self-care skills:24.59±4.46,self-care knowledge:21.80±3.61,and self-care responsibility:14.83±3.11)(P>0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in the study group were higher than those in the control group(self-concept:22.97±3.46,self-care skills:33.02±5.65,selfcare skills knowledge:36.81±5.54,and self-care responsibility:17.97±3.56 points)(P<0.05).The incidence of complications in the study group(4.65%)was lower than that in the control group(18.60%)(P<0.05).Nursing satisfaction in the study group(95.35%)was higher than that in the control group(81.40%)(P<0.05).CONCLUSION Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function,daily living ability,self-care ability,quality of life,and patient satisfaction,while reducing the risk of complications.
文摘BACKGROUND Depression,anxiety,and altered self-care ability are among the most important factors affecting the quality of life of liver transplant recipients.Depending on the severity of the underlying liver disease,signs and symptoms of anxiety and depression may become more pronounced.AIM To evaluate the factors affecting depression,anxiety and self-care abilities of liver transplant recipients.METHODS Recipients who are≥18 years and who underwent liver transplantation at Inonu University Liver Transplantation Institute were included in this descriptive and cross-sectional study.Sample size analysis showed that the minimum number of recipients should be 301(confidence level=95%,confidence interval=2.5,population=1382).Three hundred and twenty recipients were interviewed and 316 recipients that have answered the questionnaires accurately were analyzed.The dependent variables were the Beck Depression Scale,State-Trait Anxiety Scale(Form I and II),and Self-Care Agency Scale.The independent variables of the study were sociodemographic characteristics,biliary complications,hepatocellular carcinoma,recommending liver transplantation to other patients,and the interval of out-patient clinic visits.RESULTS Self-care ability scores were lower(P=0.002)and anxiety scores were higher(P=0.004)in recipients with biliary complications.On the other hand,in recipients with hepatocellular carcinoma,self-care scores were lower(P=0.006)while depression(P=0.003)and anxiety scores(P=0.009)were higher.Liver transplantation recipients with a monthly income<3000 Turkish liras had higher depression(P<0.001)and anxiety(P=0.003)scores.The recipients who stated that they would not recommend liver transplantation to others had lower self-care scores(P=0.002),higher depression(P<0.001),higher state anxiety(P=0.02),and trait anxiety(P<0.001)scores.CONCLUSION Presence of biliary complications and hepatocellular carcinoma,low income level,and an obligation for monthly visits to the outpatient clinic are factors that are found to affect self-care capability,depression,and anxiety.
